• Life Insurance and AD&D Enrollment Form
  • Click to view form (pdf or doc) »
  • Use this form to enroll in additional levels of life insurance coverage in addition to the University's 1x annual salary coverage. This form also allows you to enroll in separate AD&D (accidental death & dismemberment) insurance, if desired.
  • Revision date: 05/05/2015
  • Submit paper form to Employee Benefits Office, 112 Scovell Hall
  • Email form back to benefits@email.uky.edu